Perez, Jennifer Mary

Perez, Jennifer Mary is an individual health care provider with primary practice located at 12250 W North Ave , Wauwatosa WI 53226-2066. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Perez, Jennifer Mary can be contacted via phone (414) 217-7444.

Contact Information

Primary practice address
12250 W North Ave Wauwatosa WI 53226-2066
Phone: (414) 217-7444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1154309425
LBN Legal business name Perez, Jennifer Mary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154309425 NPPES
Wisconsin MEDICAID 39995800

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